Ejaculation
Ejaculation
Ejaculation refers to the release of semen from the male reproductive system, often accompanying orgasm. Semen, primarily composed of spermatozoa (sperm cells) and seminal fluid, plays a central role in human reproduction. Ejaculation can occur due to sexual stimulation or spontaneously during sleep (referred to as a nocturnal emission or "wet dream").
Anatomy and Physiology
The ejaculatory process involves multiple steps and various anatomical structures.
Ejaculatory Process
- Emission: The first phase, during which the sperm is propelled from the testes and the epididymis into the prostatic urethra.
 - Ejaculation proper: The second phase, where the semen is expelled from the penis.
 
Anatomical Structures
- Testes: Produce the spermatozoa.
 - Vas deferens: Transports mature sperm to the urethra.
 - Seminal vesicles, prostate gland, and bulbourethral gland: Produce seminal fluid, nourishing the sperm and ensuring its mobility.
 - Urethra: The duct through which urine and semen exit the body, although not simultaneously.
 
Function and Purpose
The primary function of ejaculation is reproduction. During sexual intercourse, ejaculation within the vagina can lead to fertilization if a viable sperm meets a female egg.
Volume and Composition
- The average ejaculate volume is between 2 and 5 milliliters.
 - Each milliliter contains millions of spermatozoa, although the exact number can vary.
 - Seminal fluid makes up the majority of ejaculate volume and contains enzymes, fructose, and other substances to nourish and transport sperm.
 
Factors Affecting Ejaculation
Various factors can influence ejaculation, including:
- Age: Sperm concentration and ejaculate volume may decrease with age.
 - Frequency of ejaculation: Frequent ejaculation can result in lower semen volume temporarily.
 - Health conditions: Prostate issues or surgeries can affect ejaculation.
 - Medications and treatments: Some medications can impact ejaculatory function.
 - Psychological factors: Anxiety or relationship issues can influence ejaculation.
 
Medical Conditions
Ejaculation-related conditions include:
- Premature ejaculation: Ejaculation that happens sooner than desired.
 - Delayed ejaculation or inhibited ejaculation: Difficulty or inability to ejaculate despite adequate stimulation.
 - Retrograde ejaculation: Semen enters the bladder instead of exiting through the penis.
 
Summary
Ejaculation, a complex physiological process, is crucial for reproduction. While many factors can influence it, understanding its mechanics and the associated health conditions can help in managing and addressing related concerns.
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Contributors: Prab R. Tumpati, MD